| Doctor Name: | CORY JONATHAN MIDDEL |
| NPI Number: | 1770559122 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 32917 |
| Business Practice Address: | 633d Medical Group 77 Nealy Ave. Joint Base Langley-eustis, VA - 236652040 |
| Business Phone Number: | 7577646963 |
| Business Fax Number: | |
| Mailing Address: | 633d Medical Group, 77 Nealy Ave. JOINT BASE LANGLEY-EUSTIS |
| State: | VA |
| Postal Code: | 236652040 |
| Phone Number: | 7577646963 |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2006 |
| NPI Last Update Date: | 08/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 32917 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |